Applying Miracle Dressing to Joints

MPD Application for Elbow, Knee, Heel, Ankle, Scalp, Shoulders, Spine, Hip

MPD can be used for all pressure points over the body including the sacrum, the elbows, the butt, the hips, the heels, the knees, the shoulders, the spine and the back of the skull. The application in these sites all have in common is that the skin while applying the Miracle Professional Dressing should be stretched to its maximum, so that as the patient moves that joint, it’s not going to be pulling the miracle dressing itself.

All wounds will have overlapping dressings.

Applying MPD to Elbow for Pressure Sore Prevention

If MPD is purely for preventative care, use one 2 by 4-inch Miracle Professional Dressing placed right over that pressure point.

It is very important to have the skin in a stretched position as you apply the Miracle Professional Dressing. (Elbow flexed if on the tip, or elbow extended if on medial or lateral side.)

Applying MPD to Elbow with Existing Pressure Sore

If there was a wound on either of these positions, use a second miracle dressing overlapping the wound. So that the wound itself would have a double layer of Miracle Professional Dressing.

Applying MPD to the Knee

The knee is exactly the same as the elbow as far as placement of Miracle Professsional Dressing in the stretched position. Thus, the placement of the miracle dressing on the medial or lateral aspects of the knee will be in the fully extended position while placing MPD.

If the wound or vulnerable skin is over the patella - the kneecap - then we are going to need to have the knee in a fully flexed position.

Applying MPD to the Heel

The heel has the same principle of placement. Before placing MPD you want the skin to be at its most stretched position. Thus, placing the dressing over the heel then the placement of the MPD should be in the flexed position.

Applying MPD to the Ankle

The medial or lateral aspect of the ankle - we want it in the most stretched (extended) position.

Applying MPD to the Scalp

Other areas of pressure points are the occipital portion of the scalp, the spine, the scapula and the shoulder. These exposed areas can have boney prominences that could create vulnerability or actual wounds. To help heal those wounds or to prevent pressure injuries, the Miracle Dressing should be placed on the skin at its maximal stretching. On the scalp shave all the hair in that area prior to placing the MPD.

Applying MPD to the Spine

On the spine, if you have a spiney prominence, you would again stretch the skin by bending the patient forward and place the agglutinant. Place MDS on the spine in a vertical direction. Scapula sometimes can have boney prominences also. In stretching the skin and placing the dressing in the direction of the injury or vulnerable skin will be essential.

Applying MPD to the Shoulders

Application of MPD on the shoulders must be in the complete stretched position.

Applying MPD to the Lateral Hip (Trochanter) and Buttocks

Pressure injuries are commonly found on the lateral hip or trochanter and the buttocks. And in both of these situations, place MPD in the vertical direction of the dressing. Remember when you have a wound you want to overlap the MPD to maximize the benefit.

For more about Miracle Professional Dressing (MPD), see this page.

For protocols by condition, see this page.